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PT Fundamentals > Subjective Exam and Comm > Flashcards

Subjective Exam and Comm Flashcards

1
Q

What is the first part of the initial visit?

A

Establish if patient belongs in the clinic

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2
Q

What is step one of the subjective exam?

A

Review baseline/chart review

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3
Q

What is step two of the subjective exam?

A

establish rapport

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4
Q

What is step three of the subjective exam?

A

Gather general info

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5
Q

What is step four of the subjective exam?

A

analyze info/generate hypothesis

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6
Q

What is step five of the subjective exam?

A

Gather specific info (Date of onset, mode of onset, delayed or immediate symptoms, etc)

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7
Q

What is step six of the subjective exam?

A

Plan objective exam

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8
Q

What percentage of information needed to make a diagnosis is contained in the subjective exam?

A

80%

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9
Q

What are radicular symptoms?

A

direct stimulation of a nerve root

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10
Q

What type of pain results from radicular symptoms?

A

sharp, lancinating pain, well-localized to dermatomes

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11
Q

What is a visceral referral?

A

If the problem is organ based - kidney, pancreas, cardiac, etc

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12
Q

What type of pain can visceral pain mimic/masquerade as?

A

MSK

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13
Q

What type of referral is warranted when symptoms arise from MSK structure (i.e. facet joint)?

A

Somatic referral

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14
Q

What is a hypersensitive spot typically in skeletal muscle that can be associated with a taut band?

A

Trigger point

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15
Q

Behavior of symptoms is a part of what step of the exam review?

A

step 5

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16
Q

What are aggravating factors?

A

things that make it worse

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17
Q

What are easing factors?

A

things that make it better

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18
Q

What are red flags?

A

signs/symptoms that may warrant immediate communication with the referring provider or may warrant a referral to another provider

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19
Q

What are the categories of red flags?

A
  1. immediate attention
  2. require subjective questioning and precautionary exam and treatment procedure
  3. require further physical testing and differential analysis
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20
Q

What are yellow flags?

A

symptoms that warrant a referral/consult to a mental health practitioner

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21
Q

What are some examples of yellow flags?

A

psychosocial stress/fear avoidance, anxiety, depression, pain catastrophizing

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22
Q

What is SINSS?

A

Severity, Irritability, Nature, Stage, Stability

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23
Q

What are the levels of severity?

A

Minimal, moderate, high

24
Q

How much does minimal severity affect activities?

A

do not limit

25
Q

How much does moderate severity affect activities?

A

limit 40-70%

26
Q

How much does high severity affect activities?

A

Severely reduces, inhibits activities

27
Q

What are the levels of irritability?

A

low, moderate, high

28
Q

What does irritability signify?

A

Time for symptoms to come and go

29
Q

What irritability is someone who tolerates repetitive, sustained activity?

A

low

30
Q

What irritability is someone who cannot tolerate the activity and pain takes more than 30 mins to subside?

A

high

31
Q

What irritability is someone who tolerates brief activity and takes about 10 minutes to subside?

A

moderate

32
Q

What are the options for nature?

A

MSK or nonMSK(Sinister)

33
Q

What are the stages?

A

Acute, subacute, chronic

34
Q

What is the time period for acute pain?

A

0-6 weeks

35
Q

What is the time period for subacute pain?

A

6-12 weeks

36
Q

What is the time period for chronic pain?

A

> 3 months

37
Q

What does stability refer to?

A

whether the condition worsens, improves, or stays the same

38
Q

What is the recognition of disease/disorder by a collection of signs and symptoms?

A

Diagnosis

39
Q

What is the systematic method to identify cause (nature) of symptoms?

A

Differential Diagnosis

40
Q

What is the predicted optimal level of improvement considering comorbidities, motivation, psychosocial factors, goals/expectation?

A

Prognosis

41
Q

What are the general signs/symptoms present at time of visit?

A

constitutional signs

42
Q

What are the questions during the subjective exam to gather information about the musculoskeletal system, cardiovascular system, integumentary system or other body systems?

A

Systems review

43
Q

What is the ability for patients to come to PT on their own?

A

Direct access

44
Q

What is Accessible healthcare by clinicians who are accountable for addressing a large majority of personal health care needs, developing sustained partnerships with patients?

A

Primary care

45
Q

What is Screening for malaise, fever, weight changes, nausea and vomiting?

A

General health screening

46
Q

Which of the below is a scale used to quantify a patient’s pain rating that requires the patient to physically mark where their rating on a scale?

A

visual analog scale

47
Q

What are the types of communication?

A

written, verbal, nonverbal

48
Q

What type of communication includes skill in choosing the correct words and questions to ask as well as hearing and understanding the patient?

A

verbal

49
Q

What type of communication is the nuances of behavior hat can be observed?

A

Nonverbal

50
Q

What are some types of nonverbal communication?

A

Facial cues, tones, eye contact, body (language)

51
Q

What are the sources of communication error?

A

Language, psychological, environmental, speech

52
Q

What is language error?

A

Vocab understanding

53
Q

What is psychological error for communication?

A

Is an emotion by the patient deflecting? i.e. stress, fear, sad

54
Q

What is environmental error for communication?

A

what is the area like? is it noisy, temperature?, time of day? space?

55
Q

What type of question is this?: What increases your pain?

A

open ended

56
Q

What type of question is this?: Does moving this way increase pain?

A

Close ended

PT Fundamentals (6 decks)

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